A nurse is familiar with evidence-based practice (EBP) and wants to implement it into the care of clients. Which of the following would present the biggest challenge?

Correct Answer: D

Rationale: The correct answer is D because showing clients that EBP will improve their health outcomes presents the biggest challenge. Clients may have preconceived notions or resistance to change, making it difficult to convince them of the benefits of EBP. Assessing current practice and accessing resources, convincing administration, and distinguishing EBP from old standards are important steps in implementing EBP but are not as challenging as changing client perceptions.

Correct Answer: C

Rationale: The correct answer is C because encouraging group reflection on nursing ideals and expectations fosters a shared understanding and commitment to EBP. This strategy promotes critical thinking, collaboration, and buy-in from staff, leading to successful implementation of EBP. Choice A is incorrect because eliminating all protocols not evidence-based may lead to chaos and resistance. Choice B and D are incomplete and do not provide a clear strategy for integrating EBP effectively.

Correct Answer: D

Rationale: The correct answer is D: Implementation. The three core functions identified by the IOM are Assessment, Policy Development, and Assurance. 1. Assessment involves systematically collecting, analyzing, and making available information on the health of a community. 2. Policy Development refers to developing comprehensive public health policies and plans to address health issues. 3. Assurance involves ensuring that necessary services are provided to achieve agreed-upon goals. Implementation, while important, is not explicitly mentioned as one of the core functions in the IOM report. It is a critical step in carrying out public health initiatives but falls under the broader umbrella of assurance.

Correct Answer: A

Rationale: The correct answer, A, is supported by the concept of population health, which focuses on health outcomes of a group of individuals, including the impact of age demographics on disease prevalence. As the population ages, the percentage of individuals over 65 increases, leading to a higher prevalence of chronic diseases due to age-related factors. This aligns with the framework of public health, which emphasizes preventive measures and interventions to improve the health of the entire population. Choice B is incorrect because it does not directly address the relationship between population demographics and health outcomes. Choice C is incorrect as it focuses on developmental stages related to aging rather than the broader impact of age demographics on disease prevalence. Choice D is incorrect because it only mentions the cost of medications and does not consider the broader implications of population health and chronic disease prevalence.

Correct Answer: A

Rationale: Step 1: The correct answer is A because it accurately describes the formal organization of public health services. The Constitution delegates public health responsibilities to the states, not the federal government. Step 2: The Centers for Disease Control and Prevention (CDC) conducts research, sets guidelines, and provides support, but quarantines are typically managed by local health departments. Step 3: This demonstrates a hierarchical system where the federal level (CDC) supports and guides the state and local levels in public health efforts. Step 4: Choice B is incorrect because it mentions state boards of health but does not emphasize the role of the CDC or the division of responsibilities between federal and state levels. Step 5: Choice C is incorrect because it oversimplifies the role of local health departments in managing quarantines without acknowledging the broader structure of public health services. Step 6: Choice D is incorrect because it suggests that all levels of government are not capable of handling local health crises, which is not accurate as